NPIMap

Organization Active NPI

Columbus Neighborhood Health Center Inc

Doing business as PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
National Provider Identifier
1497817142
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COLUMBUS NEIGHBORHOOD HEALTH CENTER INC
Doing business as
PrimaryOne Health
Practice address
2300 W Broad St
Columbus, OH 43204-3783
Phone
(614) 645-2300
Fax
(614) 645-2333
NPI assigned
Dec 15, 2006
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBUS NEIGHBORHOOD HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Johnetta Ridgeway
Title
Provider Enrollment Coordinator
Phone
(614) 859-1906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2300 W Broad St
Columbus, OH 43204-3783

Mailing address

3433 Agler Rd Ste 2800
Columbus, OH 43219-3389
Phone (614) 859-1906

Other identifiers 2

IdentifierTypeStateIssuer
2051176MedicaidOH
36D0328844OtherOHCLIA

Other names 1

  • PrimaryOne Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110713000867 OH Part A Provider - Federally Qualified Health Center (FQHC) 3678469129 Practice locations: Columbus, OH
O20140721000618 OH Part B Supplier - Clinic/Group Practice 3678469129 Receives reassigned benefits from 120 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, OH; Circleville, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497817142. Details of each certification follow.

Federally qualified health center certification: CCN 361871

Legal name
COLUMBUS NEIGHBORHOOD HEALTH CENTER INC
Doing business as
PRIMARYONE HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 1, 1998
Last certification
Jan 1, 1998
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
2300 West Broad Street
Columbus, OH 43204-3783

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0328844Columbus Neighborhood Health2300 West Broad Street, Columbus, OH 43204Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Cols Neigh Health Cente8 organizations share this tax ID, including this one
Part of
Cols Neigh Health Cente

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

L3318
Columbus, OH 43260

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nichole Otayco Individual Corporate OfficerCoo Dec 10, 2024
Jennifer Beard Individual Corporate DirectorBoard Member Feb 22, 2022
Liza Paul Individual Corporate DirectorBoard of Director Jun 17, 2024
Johnetta Ridgeway Individual W-2 Managing EmployeeProvider Enrollment Specialist Feb 22, 2022
Caitlin Purk Individual Corporate DirectorBoard of Director Member Jun 14, 2024
Eric Wu Individual Corporate DirectorBoard of Director Jun 14, 2024
Ephraim Laidley Individual Corporate DirectorBoard of Director Member Jun 14, 2024
Emily Fisher Individual Corporate DirectorBoard Member Feb 22, 2022
Robert Weis Individual Corporate DirectorCfo Dec 10, 2024
Dustin McKee Individual Corporate DirectorBoard Member Feb 22, 2022
Adrian Fredrick Individual Corporate DirectorBoard of Director Member Jun 14, 2024

Practitioners & affiliated clinicians

Practitioners 115

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 115

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1497817142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 AGLER RD STE 2800",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193389",
            "telephone_number": "614-859-1906",
            "fax_number": "614-458-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432043783",
            "telephone_number": "614-645-2300",
            "fax_number": "614-645-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS NEIGHBORHOOD HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBUS NEIGHBORHOOD HEALTH CENTER INC",
        "enumeration_date": "2006-12-15",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "RIDGEWAY",
        "authorized_official_first_name": "JOHNETTA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT COORDINATOR",
        "authorized_official_telephone_number": "614-859-1906"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2051176",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "36D0328844",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrimaryOne Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PrimaryOne Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.